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• ~ i • <br />-~- <br />cu~oi~aoo ~aarErz ~a;~s <br />Tne pennittee rs encouraged w contact the Mate Engineer, ~.vitn reyard to the <br />administration of water riyhts, and the ~oloradu Uepartment of Healtn, witn reyard cu <br />the discharge or pollutants into the waters of the State. Violation of t;oluradu water <br />laws could result in enforcement actions taken by the State cnyineer and/dr [he Coloraao <br />Department of Healtn. <br />aDUITIu~IAL IIJEUrtMATiUW <br />Tnis space can oe referenced fur furtner infonnation of any of the items on this form. <br />To the nest of my knowleage, all the infonnation presented in this application is true <br />and correct. <br />Uate: 8/16/64 dy: a`ec..a~~11ScJ <br />uis Bucher, Chairman <br />Dolores County Board of Commissioners <br />Title <br />(2e v. y/33) <br />uuc. rlu. ~Sd~ <br />